Dry Needling and Intramuscular Electrical Stimulation for a Patient with Chronic Low Back Pain with Movement Coordination Deficits: A Case Report.

Background and Purpose: The clinical practice guidelines match the classification of chronic low back pain and movement coordination deficits (CLBPMC) with lumbopelvic stabilization exercise. The purpose of this case report is to describe a multimodal treatment for a patient with CLBPMC, which inclu...

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Publicado en:Orthopedic Physical Therapy Practice Vol. 32; no. 4; pp. 216 - 221
Autores principales: McLaughlin, Kevin, McGee, Terrence
Formato: case study pictorial tables/charts Journal Article
Publicado: Orthopaedic Section, APTA, Inc. 2020
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Orthopaedic Section, APTA, Inc.
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        atl: Dry Needling and Intramuscular Electrical Stimulation for a Patient with Chronic Low Back Pain with Movement Coordination Deficits: A Case Report.
      aug:
        au:
          McLaughlin, Kevin
          McGee, Terrence
        affil: Johns Hopkins University, Department of Orthopaedic Surgery, Baltimore, MD
      sug:
        subj:
          Dry Needling
          Injections, Intramuscular
          Electrical Stimulation, Neuromuscular
          Low Back Pain Therapy
          Chronic Pain Therapy
          Motor Skills Disorders Therapy
          Joint Instability
          Child
          Manual Therapy
          Recreational Therapy
          Physical Therapists
          Trigger Point
          Practice Guidelines
          Physical Examination
          Child: 6-12 years
      ab: Background and Purpose: The clinical practice guidelines match the classification of chronic low back pain and movement coordination deficits (CLBPMC) with lumbopelvic stabilization exercise. The purpose of this case report is to describe a multimodal treatment for a patient with CLBPMC, which includes stabilization and dry needling with intramuscular electrical stimulation. Methods: Case description of a patient with a 9-year history of recurring low back pain despite manual therapy and stabilization interventions. Findings: Over the course of 4 visits, the patient reported a 50% reduction in pain and a decrease from 34% disability to 18% disability per the ODI. The patient was able to return to all work and recreational activities without limitation. Clinical Relevance: Based on the rapid improvements experienced by this patient, who was previously a non-responder to stabilization training, it is likely that dry needling with intra-muscular electrical stimulation may have enhanced multifidus strengthening in this case. Conclusion: Physical therapists may consider dry needling with electrical stimulation when strengthening the multifidus for patients with CLBPMC.
      pubtype: Periodical
      doctype:
        case study
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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